New Application - Accreditation Council for Graduate · Web viewNew Application: Nuclear Radiology Review Committee for Radiology ACGME Participating Sites How does each of the participating

New Application: Nuclear RadiologyReview Committee for Radiology

ACGME

PARTICIPATING SITES

1. How does each of the participating sites contribute to the educational program? [PR I.B.]

Click here to enter text.

a) Describe the nature of fellow participation on rotations at the participating sites. [PR I.B.1.c)]


2. Provide the name and 10-digit program ID of the ACGME-accredited diagnostic radiology program with which the fellowship program is associated. [PR I.B.3.]


PROGRAM PERSONNEL AND RESOURCES

Program Director

What percentage of time does the program director spend in the subspecialty? [PR II.A.4]................# %

Other Program Personnel

1. Is there a program coordinator available to the program? [PR II.C.1.]............................☐ YES ☐ NO

If no, explain.Click here to enter text.

2. Does the program coordinator have sufficient time and resources to support the administration and educational conduct of the program? [PR II.C.1.]............................................................☐ YES ☐ NO

If no, explain.Click here to enter text.

Resources

1. Briefly describe the facilities and space, including study space, conference space, and access to computers, available for the education of fellow. [PR II.D.1.-II.D.1.a)]


2. Describe resources available for point of service teaching and learning utilized during read out session. The description should include the availability of electronic resources. [PR II.D.1.-II.D.1.a)]


3. Complete only for sites to which rotations total a minimum of 3 months. [PR II.D.1.]

Nuclear Radiology Updated 09/2015©2015 Accreditation Council for Graduate Medical Education (ACGME) Page 1 of 15

Site #1 Site #2 Site #3Nuclear Radiology (square feet) square feet square feet square feetPhysics (square feet) square feet square feet square feetRadiological Research (square feet) square feet square feet square feetOther: specify square feet square feet square feetAllocation of Space:Number of examining rooms controlled by Nuclear Radiology (including any rooms used to perform patient examinations)

# # #

Number of nuclear examining rooms not controlled by Radiology, but located in Nuclear Radiology space

# # #

Number of Nuclear Radiology staff offices # # #Number of conference rooms available to Nuclear Radiology for regular use

# # #

Number of Nuclear Radiology resident offices/lounges

# # #

4. List number of units available to residents in each site. Include units in other departments, e.g., cardiology, GI and GU. Append copy of current equipment list. Add rows as necessary. [PR II.D.2.]

Nuclear Radiology Equipment Site #1 Site #2 Site #3In Vivo Imaging/Counting

Single or Multi Probe Counting SystemsTomographic Imaging Systems (specify)Cameras

Stationary, standard or large fieldMobile

In Vitro LaboratorySPECTSPECT/CTPET/CTOther Nuclear Imaging Equipment (specify)

5. Provide the data requested below regarding the number of procedures performed at each site that will participate in the program for the most recent 12-month period. [PR. II.D]

Reporting Period (Recent 12-month period): From: Click here to enter a date. To: Click here to enter a date.

Procedure CPT code Site #1 Site #2 Site #3Endocrine [PR IV.A.2.a).(1).(e).(ii)]

Thyroid Scan 78012, 78013, 78014 # # #


Procedure CPT code Site #1 Site #2 Site #3Thyroid Carcinoma-Whole Body Scan

78018 # # #

Parathyroid Scan 78070 # # #TOTAL # # #

GI [PR IV.A.2.a).(1).(e).(iii)]Hepatobiliary Scan 78226, 78227 # # #GI Bleed Scan 78278 # # #Gastric Emptying Scan 78264 # # #Meckel diverticulum 78290 # # #

TOTAL # # #Musculoskeletal [PR IV.A.2.a).(1).(e).(v)]

Bone Scan 78300, 78305, 78306, 78315, 78320

# # #

Cardiovascular [PR IV.A.2.a).(1).(e).(i)]Myocardial Perfusion Gated SPECT

78451, 78452, 78453, 78454

# # #

Multigated Cardiac Blood Pool Scan

78472, 78473 # # #

TOTAL # # #Respiratory System [PR IV.A.2.a).(1).(e).(ix)]

Lung VQ Scan 78579, 78582, 78597, 78598

# # #

CNS [PR IV.A.2.a).(1).(e).(vi)]Brain SPECT 78607 # # #Brain PET 78608, 78609 # # #CSF study 78630, 78650 # # #

TOTAL # # #Genitourinary [PR IV.A.2.a).(1).(e).(iv)]

Renal Scan 78707, 78708, 78709 # # #Tumor and Infection [PR IV.A.2.a).(1).(e).(vii).(c)]

Tumor localization (planar/SPECT) 78800, 78801, 78802, 78803

# # #

Tumor PET 78811, 78812, 78813 # # #Tumor PET/CT 78814, 78815, 78816 # # #Inflammatory/ Infection localization 78805, 78806, 78807 # # #Lymphoscintigraphy 78195 # # #

TOTAL # # #Radiopharmaceutical Therapy [PR IV.A.2.a).(2).(b)-(b).(i).(c)]

Oral 79005 # # #Intravenous 79101 # # #Intra-arterial 79445 # # #

TOTAL # # #

6. All information requested must be included for each site listed in ADS.


Reporting Period (Recent 12-month period): From: Click here to enter a date. To: Click here to enter a date.

Site #1 Site #2 Site #3Total beds in facility # # #Adult Admissions # # #Pediatric Admissions # # #

# cutoff age for pediatrics # # #Newborn nursery admissions # # #Neonatal intensive care unit admissions # # #

Total Admissions (enter on this line) # # #Adult Outpatient visits # # #Pediatric Outpatient (include neonates) # # #

Total Outpatients Visits # # #*Note: The cutoff age used by each participating site for pediatric patients should be indicated.

FELLOW APPOINTMENTS

1. How will the program director ensure the subspecialty program in nuclear radiology will not dilute or detract from the educational opportunities available to residents in the core diagnostic radiology resident program? [PR III.B.3.]


2. Explain the distinction between the diagnostic radiology residents and the fellows in terms of clinical activities and level of responsibility. [PR III.B.4.]


EDUCATIONAL PROGRAM

For the competency tables below, examples of evaluation methods for competence may include: direct observation, global assessment, multisource assessment, practice/billing audit, patient survey, record/chart review, review of patient outcomes, simulations/models, structured case discussion, in-house written examination, In-training examination, oral examination and computer-based learning.

Are the program goals and objectives for each rotation made available annually to fellows and faculty members? [PR IV.A.1.a)].......................................................................................................☐ YES ☐ NO

If no, explain:Click here to enter text.

Patient Care

1. For the patient care and procedural areas listed in the table below, identify the learning activities, settings and evaluation methods for the fellows.


CORE CURRICULUM

List in Bulleted Format the Learning Activities and Settings Used to Address the Core Knowledge Areas for Patient Care and Procedures

List in Bulleted Format the Method(s) Used to Evaluate Fellow Competency

Provide consultation with referring physicians or services[PR IV.A.2.a).(1).(a)]

Click here to enter text. Click here to enter text.

Actively participate in educating diagnostic radiology residents, and if appropriate, medical students and other professional personnel in the care and management of patients[PR IV.A.2.a).(1).(b)]


Follow standards of care for practicing in a safe environment, attempt to reduce errors, and improve patient outcomes[PR IV.A.2.a).(1).(c)]


Perform and interpret all specified exams and/or invasive studies under close, graded responsibility and supervision[PR IV.A.2.a).(1).(d)]


Demonstrate competence interpreting cardiac imaging, including myocardial perfusion imaging procedures performed with radioactive perfusion agents in association with treadmill and pharmacologic stress [PR IV.A.2.a).(1).(e).(i).(a)]


Demonstrate competence interpreting cardiac imaging, including radionuclide ventriculography performed with ECG gating for evaluation of ventricular performance [PR IV.A.2.a).(1).(e).(i).(b)]


Demonstrate competence interpreting endocrinologic studies, including thyroid and parathyroid imaging, as well as octreotide and other receptor-based imaging studies[PR IV.A.2.a).(1).(e).(ii)]


Demonstrate competence interpreting gastrointestinal studies of the salivary glands, esophagus, stomach, and liver, both reticuloendothelial function



CORE CURRICULUM



and the biliary system, also to include studies of gastrointestinal bleeding and Meckel diverticulum[PR IV.A.2.a).(1).(e).(iii)]Demonstrate competence interpreting genitourinary tract studies, including renal perfusion and functional procedures, renal scintigraphy with pharmacologic interventions, renal transplant evaluation, and vesicoureteral reflux[PR IV.A.2.a).(1).(e).(iv)]


Demonstrate competence interpreting musculoskeletal studies, including bone scanning for benign and malignant disease[PR IV.A.2.a).(1).(e).(v)]


Demonstrate competence interpreting neurologic studies, including cerebral perfusion with both SPECT and/or PET, cisternography, and CSF flow studies[PR IV.A.2.a).(1).(e).(vi)]


Demonstrate competence interpreting PET imaging[PR IV.A.2.a).(1).(e).(vii)]


Demonstrate competence interpreting PET imaging, including the brain, to include studies of dementia, epilepsy, and brain tumors[PR IV.A.2.a).(1).(e).(vii).(a)]


Demonstrate competence interpreting PET imaging, including myocardial perfusion studies[PR IV.A.2.a).(1).(e).(vii).(b)]


Demonstrate competence interpreting PET imaging, including oncology, to include studies of tumors of the lung, head and neck, esophagus, colon, thyroid, and breast, as



CORE CURRICULUM



well as melanoma, lymphoma, and other tumors as the indications become established[PR IV.A.2.a).(1).(e).(vii).(c)]Demonstrate competence interpreting oncology studies, including sentinel node localization, fluorodeoxyglucose, adrenal, somatostatin-receptor imaging, and other agents as they become available[PR IV.A.2.a).(1).(e).(viii)]


Demonstrate competence interpreting pulmonary studies of perfusion and ventilation performed with radiolabeled macroaggregates and radioactive gas or aerosols, for both diagnostic and quantitative assessment of perfusion and ventilation[PR IV.A.2.a).(1).(e).(ix)]


Apply low-dose radiation techniques in both adults and children[PR IV.A.2.a).(2).(a)]


Participate in therapeutic administration of radiopharmaceuticals, including patient selection, informed consent, understanding and calculating of the administered dose, counseling of patients and their families on radiation safety issues, and patient follow up after therapy. [PR IV.A.2.a).(2).(b)]


Documentation of specific applications should include participation in a minimum of 10 cases of oral administration of less than or equal to 33 millicuries of sodium iodine I-131, for which a written directive is required[PR IV.A.2.a).(2).(b).(i).(a)]


Documentation of specific Click here to enter text. Click here to enter text.


CORE CURRICULUM



applications should include participation in a minimum of 5 cases of oral administration greater than 33 millicuries of sodium iodine I-131, for which a written directive is required[PR IV.A.2.a).(2).(b).(i).(b)]Documentation of specific applications should include participation in a minimum of 5 cases of parenteral administration of any beta admitter, or a photon-emitting radionuclide with a photon energy less than 150 KeV, for which a written directive is required, and/or parenteral administration of any other radionuclide, for which a written directive is required[PR IV.A.2.a).(2).(b).(i).(c)]


Demonstrate competence in performing pediatric nuclear radiology cases (a minimum of 100 cases must be performed)[PR IV.A.2.a).(2).(c)]


Maintain current basic life support certification[PR IV.A.2.a).(2).(d)]


2. Briefly describe how fellows will provide consultation with referring physicians or services. [PR IV.A.2.a).(1).(a)]


3. Describe how fellows will be educated in and apply low dose radiation techniques in both adults and children and how they become skilled in preventing and treating complications of contrast administration. [PR IV.A.2.a).(2).(a), IV.A.2.b).(2)]

Limit to 200 wordsClick here to enter text.

Medical Knowledge

1. Describe the activities and settings in which fellows will be given opportunities to develop knowledge in the following topics and evaluation methods used.


CORE CURRICULUM

List in Bulleted Format the Learning Activities and Settings Used to Address the Core Knowledge Area


Demonstrate a level of expertise in the knowledge of those areas appropriate for a nuclear radiologist specialist[PR IV.A.2.b).(1)]


Including radiation safety rules and regulations, including those set by the NRC and/or other agreements stating rules, local regulations, and the ALARA principles, as well as personnel occupational radiation exposure and radiation protection[PR IV.A.2.b).(1).(a).]


Demonstrate knowledge of low dose radiation techniques in both adults and children, and how to prevent and/or treat complications of contrast administration[PR IV.A.2.b).(2)]


Develop skills in preparing and presenting educational material for medical students, graduate medical staff, and allied health personnel[PR IV.A.2.b).(3)]


Demonstrate a level of expertise in the didactic curricular knowledge of instrumentation: principles of instrumentation used in detection, measurement, and imaging of radioactivity with special emphasis on gamma cameras, including SPECT and PET devices, as well as software image fusion methodologies[PR IV.A.2.b).(6)]


Demonstrate a level of expertise in the didactic curricular knowledge of physics: structure of matter, modes of radioactive decay, particle and photon emissions and interactions of radiation with matter [PR IV.A.2.b).(7)]


Demonstrate a level of expertise Click here to enter text. Click here to enter text.


CORE CURRICULUM



in the didactic curricular knowledge of radiation biology and protection: biological effects of ionizing radiation, means of reducing radiation exposure, calculation of the radiation dose, evaluation of radiation overexposure, medical management of persons overexposed to ionizing radiation, management and disposal of radioactive substances, and establishment of radiation safety programs in accordance with federal and state regulations [PR IV.A.2.b).(8)]Demonstrate a level of expertise in the didactic curricular knowledge of radiopharmaceuticals: reactor, cyclotron, and generator production of radionuclides, radiochemistry, pharmacokinetics, and formation of radiopharmaceuticals[PR IV.A.2.b).(9)]


2. List the settings and activities in which fellows will be given opportunities to develop expertise in their knowledge of the following Diagnostic Imaging and Non-imaging Nuclear Radiology Application and Therapeutic Applications. Also specify the method(s) that will be used to assess fellow competence in each area. [PR IV.A.2.b).(5)-IV.A.2.b).(5).(e)]

CORE CURRICULUM



Diagnostic use of radiopharmaceuticals, to include clinical indications, technical performance, and interpretation of in vivo imaging of the body organs and systems, and using external detectors and scintillation cameras, including SPECT and PET[PR IV.A.2.b).(5).(a)]



CORE CURRICULUM



Exercise and pharmacologic stress testing, to include the pharmacology of cardioactive drugs and physiologic gating techniques[PR IV.A.2.b).(5).(b)]


Non-imaging studies: application of a variety of non-imaging procedures, including instruction in the principles of radioimmunology, preparation of radiolabeled antibodies, uptake measurements, and in-vitro studies[PR IV.A.2.b).(5).(c)]


Techniques and applications of molecular imaging and fusion imaging[PR IV.A.2.b).(5).(d)]


Therapeutic uses of unsealed radiopharmaceuticals, to include: patient selection and management, including dose administration and dosimetry, radiation toxicity, and radiation protection considerations in the treatment of metastatic cancer and bone pain, primary neoplasms, solid tumors, and malignant effusions; and the treatment of hematologic, endocrine, and metabolic disorders[PR IV.A.2.b).(5).(e)]


3. Will residents be required to learn to operate, utilize or program any phase of computer utilization, specifically part of nuclear units? [PR IV.A.2.b).(6)].........................................................☐ YES ☐ NO

If yes, describe briefly:Click here to enter text.

Practice-based Learning and Improvement

Describe the activities and settings in which fellows will be given opportunities to develop knowledge in the following topics and evaluation methods used.


CORE CURRICULUM



Use quality control procedures for imaging devices, laboratory instrumentation, and radiopharmaceuticals[PR IV.A.2.c).(3)]


Interpersonal and Communication Skills


CORE CURRICULUM



Communicate effectively with patients, colleagues, referring physicians, and other members of the health care team, concerning imaging and procedure appropriateness, informed consent, safety issues, and the results of imaging tests or procedures[PR IV.A.2.d).(1)]


Competence in oral communication[PR IV.A.2.d).(2)]


Competence in written communication[PR IV.A.2.d).(3)]


Professionalism


CORE CURRICULUM



Demonstrate compassion, integrity, and respect for others [PR IV.A.2.e).(1)]


Demonstrate responsiveness to patient needs [PR IV.A.2.e).(2)]


Demonstrate respect for patient Click here to enter text. Click here to enter text.


CORE CURRICULUM



privacy and autonomy [PR IV.A.2.e).(3)]Demonstrate accountability to patients, society and the profession [PR IV.A.2.e).(4)]


Demonstrate sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation [PR IV.A.2.e).(5)]


Demonstrate compliance with institutional and departmental policies (HIPAA, the Joint Commission, patient safety, infection control, etc.) [PR IV.A.2.e).(6)]


Systems-based Practice


CORE CURRICULUM



Work in interprofessional teams to enhance patient safety and improve patient care quality [PR IV.A.2.f).(1)]


Participate in identifying system errors and implementing potential systems solutions [PR IV.A.2.f).(2)]


Curriculum Organization and Fellow Experiences

1. Do conferences include [PR IV.A.3.):

a) Intradepartmental conferences [PR IV.A.3.c).(1)]......................................................☐ YES ☐ NOIf yes, how frequently does this occur?.........................................................................[Frequency]

b) Departmental grand rounds [PR IV.A.3.c).(2)]...........................................................☐ YES ☐ NOIf yes, how frequently does this occur?.........................................................................[Frequency]

c) At least one interdisciplinary conference per week [PR IV.A.3.c).(3)].......................☐ YES ☐ NO


d) Peer review case conference and/or M&M conference [PR IV.A.3.c).(4)].................☐ YES ☐ NOIf yes, how frequently does this occur?.........................................................................[Frequency]

2. Formal didactic sessions

1Enter the schedule of planned conferences and lectures. The specific title of lectures/sessions is requested. Add rows as necessary. [PR IV.A.3.]

Reporting Period (Planned 12-month period): From: Click here to enter a date. To: Click here to enter a date.

Type and Frequency Title

3. Briefly describe the policy for fellow attendance and participation at local and national meetings. Indicate whether the program provides reimbursement. [PR IV.A.3.e)-e).(1)]


4. Describe how the fellows will participate in teaching conferences. [PR IV.A.3.d)]


a) How much responsibility will fellows have for their preparation and presentation? [PR IV.A.3.a)]


b) Will attendance/participation of fellows and faculty be documented? [PR IV.A.3.d)].☐ YES ☐ NO

Fellows’ Scholarly Activities

1. Describe the opportunities fellows will have to engage in scholarly projects. [PR IV.B.2.a)]


2. Describe the opportunities fellows will have to submit their projects for publication or presentation. [PR IV.B.2.b)]


3. Describe how fellows will be instructed in the fundamentals of experimental design, performance, and interpretation of results. [PR IV.B.1.]



4. List intramural research programs (not more than 5) being conducted by members of the Department. DO NOT SUBMIT COPIES OF PROTOCOLS, PAPERS OR GRANT APPLICATIONS. [PR IV.B.2.]


EVALUATION

Fellow Formative Evaluation

1. Will fellow evaluations include at least a quarterly review? [PR V.A.1.b).(3).(a)]............☐ YES ☐ NO

2. Will the quarterly review include the following? [PR V.A.1.b).(3).(b)]

a) review of the faculty’s evaluations of the fellow.........................................................☐ YES ☐ NO

b) review of the fellow’s procedure log...........................................................................☐ YES ☐ NO

c) documentation of compliance with institutional and department policies (e.g. HIPAA, the JC, patient safety, infection control, etc.].........................................................................☐ YES ☐ NO

Explain any “no” responses.Click here to enter text.

Faculty Evaluation

1. Will faculty evaluations include a written confidential evaluation by the fellows? [PR V.B.3.].........................................................................................................................................☐ YES ☐ NO

2. Will faculty receive annual feedback from these evaluations? [PR V.B.3.].....................☐ YES ☐ NO

Explain any “no” responses.Click here to enter text.


Documents

New Application - Accreditation Council for Graduate · Web viewNew Application: Nuclear Radiology Review Committee for Radiology ACGME Participating Sites How does each of the participating